HomeMy WebLinkAboutPermit File 2401 Washington Court _ '" Y o : City of Anacortes Invoice/Permit#: BLD-2013-0282
r ' 904 6th Street
i Applied date: 06/25/2013
-j ',' P.O.Box 547 Issue date: 08/14/2013
T° ' ,02j Anacortes,WA 98221-0547 Expire date: 02/10/2015
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Job Address: 2401 WASHINGTON CT Permit Type: Single Family Residence Permit
ANACORTES WA 98221-4834 Project:
APN: P117671
Remarks: New single family residence per approved plans.
Owner: TOM BLACKWOOD Contractor: GEORGE BERG CONSTRUCTION INC
Address: 11131 169TH AVE SE Address: 3715 W 12TH ST
RENTON WA 98059-5921 ANACORTES WA 98221-4531
Phone: Phone: (425)466-8001
License#: GBERGBC894CG
General Information: Fees:
Building Valuation 550000 Plan Review Deposit 100.00
#of Bathtubs 2 Building Permit Fee 3,471.25
#of Clothes Dryers 1 Plan Review Fee 2,183.94
#of Clothes Washers 1 Mechanical Permit Fees 99.85
#of Gas Fireplace 1 Plumbing Permit Fee 174.00
#of Gas Piping 1 State Building Code Fee 4.50
#of Gas Water Heaters 1 Sewer Inspection Fee 50.00
#of Water Piping 1 Storm Drain GFC-Residential 1,301.75
#of Hose Bibbs 7 Sewer GFC-Residential 7,622.00
#of Kitchen Sinks 1 Park Impact Fee 615.00
#of Lavatories 4 Traffic Impact Fee 900.00
#of Range Hoods 1 Reinspection Fee 220.00
#of Showers 1 Total Calculated: 16,742.29
#of Slop Sinks 1 Deposits/Receipts: 16,522.29
#of Ventilation Fans 4
#of Water Closets 4 Total Due: 220.00
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF OWNER OR AUTHORIZE AGENT ISSUED BY
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Finance Department
015063-0003 Maryellen 02/09/2015 11 :56AM
PERMITS AND INSPECTIONS
TOM BLACKWOOD
BLD-2013-0282
Single Family Residence
Permit
New single family
residence per approved
plans.
issued
2015 Item: BLD-2013-0282 220.00
Payment Id: 47297
220.00
Subtotal 220.00
Total 220.00
CHECK 220.00
Check Number 6621
Change due 0.00
Paid by: TOM BLACKWOOD
1 1111111111111111111 11111111111
Thank you for your payment
CUSTOMER COPY
DUPLICATE RECEIPT